Anestesia e rianimazione

The past few decades have seen major impacts of different pandemics and mass casualty events on health resource use in terms of rising healthcare costs and increased mortality. In this context, the development of acute respiratory failure in patients requires the use of mechanical ventilation, either invasive or noninvasive. Recently, noninvasive ventilation (NIV) has proved to be a valuable strategy to reduce mortality rates in patients. This is the first book to describe the clinical indications of NIV in patients who have been hospitalized with high-risk infections as well as in the prehospital management of mass casualty incidents, including chemical or biological disasters and pandemics. Compiled by internationally respected experts, it offers comprehensive coverage of all aspects of noninvasive mechanical ventilation in public health emergencies, such as equipment needs and guidelines for health organizations. Considering recent events (SARS, H1N1 influenza pandemic), the book concludes with a critical review of current studies and future prospects for the use of NIV, offering a valuable resource for all practitioners managing mass casualty incidents and disasters.

Pain management is an essential part of clinical practice for all healthcare providers from trainees, physician assistants and nurse practitioners through to practising physicians. Problem-Based Pain Management is a collaboration between experts in anesthesiology, geriatric medicine, neurology, psychiatry and rehabilitation which presents a multidisciplinary management strategy. Over 60 chapters follow a standard, easy-to-read, quick access format on: clinical presentation, signs and symptoms, lab tests, imaging studies, differential diagnosis, pharmacotherapy, non-pharmacologic approach, interventional procedure, follow-up and prognosis. The broad spectrum of topics include headache, neck and back pain, bursitis, phantom limb pain, sickle cell disease and palliative care. Unlike other large, cumbersome texts currently available, this book serves as a quick, concise and pertinent reference in the diagnosis and management of common pain syndromes.

Management of critically-ill trauma patients presents multiple challenges that are unique to this patient population. Optimal management of the trauma patient requires establishing priorities of care, minimizing complications, and striving to return the trauma victim to the best possible functional outcome. Yet, most books devoted to trauma focus on prehospital care, the initial assessment of trauma patients, and operative management of specific injuries. Part of the Pittsburgh Critical Care Medicine series, this book will help intensivisits involved in the care of trauma patients implement best care practices for trauma victims in the intensive care unit. Chapters address issues such as: management priorities for trauma patients in the ICU, the use of monitors and drains in trauma patients, resuscitation from hemorrhagic shock, massive transfusions and coagulopathy, ventilator management of trauma patients including patients with chest trauma, as well as management ICU strategies and solutions for specific types of trauma, including traumatic brain injury, spinal cord injury, and burn management.

Clinician-performed bedside ultrasound is an exciting new development in medicine. Numerous diagnostic and procedural applications show great promise for improving the care of children. Many pediatric providers, however, remain unaware of its potential and ultrasound continues to be under-utilized in both the investigation and management of ill and injured children. Case Studies in Pediatric Emergency and Critical Care Ultrasound illustrates the utility of bedside ultrasound in a variety of scenarios, including the emergency setting and critical care unit. A wide range of diagnostic and procedural applications are covered in fifty-nine cases, recreating real-life experiences of expert practitioners. The cases are concise and readable, with teaching points that highlight how ultrasound can be used to expedite and focus pediatric care. With hundreds of high-quality images, and video content accompanying many cases, this text is essential reading for pediatricians, emergency physicians, pediatric anesthesiologists and critical care physicians.

The complex IT requirements of a critical care unit have led to the development of numerous information systems. In this concise handbook, the authors share their experience and research findings on how to unleash the power of the technology and overcome potential problems. Clinical Information Systems in Critical Care explains the key aspects of the information systems currently available, covering topics such as how to select the best system to match the requirements of a critical care unit, the issues surrounding data maintenance, patient confidentiality and the concept of the paperless patient record. It discusses both the benefits that may justify investment in the technology and hurdles that may arise, and offers advice for avoiding common problems. Clinical Information Systems in Critical Care is essential reading for all clinicians and health managers involved in developing, implementing, maintaining and using clinical information systems.

Intensive Care Unit Manual is a practical, hands-on, how-to manual that covers the full spectrum of conditions encountered in the ICU, guiding you step-by-step from your initial approach to the patient through diagnosis and treatment. Compact, affordable, and comprehensive, the ICU Manual puts all the critical care information you need right at your fingertips!

Evidence-based medicine is a concept that is at the forefront of anaesthesia. Clinicians are increasingly encouraged to practise patient management based on available evidence in the scientific literature. For example, new anaesthesia methods, e.g. regional anaesthesia, are being used more frequently based on case studies that show the efficacy and cost-savings associated with the treatment. Additionally, considering that many anaesthetists are required to cover a range of areas, information discussing proven methods as well as pitfalls to avoid are valuable to all those working in the field. This book provides a detailed summary of the most important trials and studies in anaesthesia, ranging from neuroanaesthesia and anaesthesia for transplant, to paediatric and thoracic anaesthesia, allowing the reader to rapidly extract key results. Each chapter is written by a prominent anaesthetist in that particular field, and papers have been selected on a number of criteria, included impact factor, authors' choices, or even because the conclusions reached do not indicate best practice. With this wealth of information collected into this newest volume in the 'Landmark Papers in' series, Landmark Papers in Anaesthesia is essential reading for all practicing anaesthetists.

Now in a fully updated Fifth Edition, "Shnider and Levinson's Anesthesia for Obstetrics", continues to provide the comprehensive coverage that has made it the leading reference in the field. The rising number of Cesarean births and the more advanced age of first-time mothers in the United States have brought with them an increased risk for complications, making the role of the obstetric anesthesiologist increasingly important. Inside you'll explore: Maternal and Fetal Physiology builds your understanding of placental transfer of drugs; Fetal Assessment covers the basics of antenatal assessment and intrapartum monitoring; Anesthesia and Analgesia addresses the anesthetic considerations of vaginal and Cesarean delivery; Neonatal Well-Being-including neonatal resuscitation and neonatal injury; Management of Obstetric Complications helps minimize the risks posed by abnormal positioning, intrapartum fever, and antepartum and postpartum hemorrhage; Management of Anesthetic Complications addresses the special problems related to obstetric anesthesia, including embolic events and intubation problems; Management of the Parturient with Coexisting Disorders prepares you for the special challenges faced when treating mothers with hypertensive, respiratory, endocrine, neurologic, or other disorders. Difficult and Failed Intubation: Strategies, Prevention, and Management of Airway-Related Catastrophes addresses the airway related maternal mortality, predictors of difficult airway and strategies to manage the unanticipated difficult airway as well as the critical airway with increasing hyoxemia. NEW to the Fifth Edition: new editorial team; new full-color format; new sections on Assessment of the Fetus; Anesthesia for Cesarean Delivery; Neonatal Well-Being: Old and New Concepts; Ethical, Medical, and Social Challenges and Issues; Maternal Safety, Difficult and Failed Intubation, Morbidity, and Mortality; and Anesthetic Considerations for Reproductive, In-Utero, and Non-Obstetric Procedures.

This pocket guide is a single-volume source of the most common and important formulas and laboratory values used in the daily practice of acute care and critical care medicine. Information is presented in outline format and as tables, graphics, and algorithms to facilitate quick look up. Acute and Critical Care Formulas and Laboratory Values is designed to help clinicians to interpret clinical data, to apply formulas, and to understand laboratory values, and to integrate this information with their knowledge of pathophysiology to promote the delivery of evidence-based care. * Essential formulas and laboratory values * Multiple ways to derive a value, where appropriate * Non-clinical formulas useful for understanding physiologic concepts or that underlie diagnostic tests or clinical measurement included * Chapters divided by organ system * Practical appendixes of "Abbreviations" and "Key Telephone Numbers" * A special "Notes" section for recording frequently used formulas

This essential handbook provides a practical, accessible guide to emergency situations encountered in palliative care practice. Using a system of icons, and structured around frequently encountered symptoms, it is split into two sections. The first section explores how patients with life-limiting illnesses such as cancer, AIDS, and end-stage organ failure normally present, and looks at the reversibility of their condition. The second section provides a detailed approach to specific clinical conditions, and is for use once the clinical diagnosis has been reached on the basis of the presenting symptoms. The book will provide trainees in palliative medicine, nurses, family doctors, and other allied health professionals with a pocket guide to the emergency care of people requiring palliative and supportive care, and will complement the Oxford Handbook of Palliative Care.

Despite increasing interest in intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) as causes of significant morbidity and mortality among the critically ill, unanswered questions cloud the understanding of the pathophysiology of these conditions: * Are IAH and ACS synonymous? * What are the ideal methods of measuring and lowering intra-abdominal pressure (IAP)? * When should we think of IAH? * Can IAH be prevented? * What level of IAP requires abdominal decompression? Written by two experts in critical care and IAP, Intra-Abdominal Hypertension is a distillation of the current literature and furthers the understanding of these complex critical conditions. Using a step-by-step approach and illustrative figures, this clinical handbook presents a concise overview of consensus definitions, measurement methods, organ assessment and treatment options. Intra-Abdominal Hypertension is essential reading for all members of the intensive care multidisciplinary team, including experienced and junior physicians, anesthetists and nurses.

This updated and refined new edition is the only book to provide a comprehensive approach to the intensive care of neurologically injured patients from the emergency room and ICU through the operating room and post-surgical period. It reviews neuroanatomy, neuroradiology, and neurophysiology, examines the neurological problems most frequently seen in intensive care, and describes the various types of neurosurgery. General issues are discussed, such as cardiac care, fluids and electrolytes, nutrition, and monitoring as well as more specific conditions and complications including elevated intracranial pressure, seizures, and altered mental states.

Critical care happens where it is needed, not just in the ICU. Patients with acute critical illness are often cared for initially in the ED, and the beginning actions can help alter outcomes hours, day and months later. This handbook targets selected common or high risk critical condition or therapies needed to optimize ED care, using the newest research and experiences from respected authors. Chapters are organized in a readable and user-friendly format, and each describes the topic, defines key terms, notes cutting edge and controversial aspects, and delivers pragmatic advice. Our goal is not to discuss every pathology and care option, but to focus on the key thoughts and actions that can drive care and improve the health of those I need.

In anesthesia practice and treatment, pharmacology and therapeutics are intimately related, synergistic, and mutually reinforcing. Rapid advances in pharmacotherapy often offer myriad treatment options for clinicians to sort through when developing patient management strategies. In turn, the principles of clinical therapeutics are rooted in fundamental pharmacology. Clinicians must understand pharmacologic principles in order to formulate and implement therapeutic algorithms that maximize patient benefit. Pharmacology in Anesthesia Practice provides clinicians with a rapid and easy review of the most commonly utilized pharmacologic agents during perioperative care. Clinical application is emphasized throughout. It aims to offer clinicians point-of-care guidance from internationally recognized authors and centers of excellence.

This essential handbook provides a practical, accessible guide to all emergency situations encountered in the critical care setting. Emergencies are very common in the critical care setting and this book helps critical care staff identify patients at risk, how to manage them, and be prepared. To help the reader find advice quickly, most chapters begin with a generic description of how to manage emergencies affecting that system, or patient group. This is followed by details of specific diagnoses and how they should be managed. The author team, where possible, follow the 'ABC' approach, which is not only the standard approach to emergency management, but also a widely-used scheme for documenting daily reviews on ICU, and for documenting trauma management. This second edition covers new areas of importance, including sections on how to deal with adverse events and critical incidents involving critically ill patients, patient-safety and improved patient rescue packages, and on the practicalities of infection control procedures. Normal values have been combined in to one short chapter for easy reference. Easy to use and evidence-based, this book will help all critical care staff involved with the management of emergencies, from the new junior doctor to the experienced consultant in a portable and easily-readable format.

Are you frustrated by the lack of lack of quality, up-to-date revision material for the Primary FRCA OSCE examination? The answer is here. Primary FRCA: OSCEs in Anaesthesia provides candidates with over 80 practice OSCE stations presented in the style of the Royal College exam. Covering the main OCSE categories such as physical examination, resuscitation and simulation, anaesthetic hazards, and equipment, this book will help candidates prepare for the exam and test their knowledge. Each station is constructed in clear and logical fashion to make the revision of individual topics more accessible. The sample questions and answers allow self-testing and are complemented by discussions, numerous illustrations and up-to-date clinical guidelines which follow modern-day anaesthetic practice. With more candidates now failing the OSCE component of the exam, Primary FRCA: OSCEs in Anaesthesia is a must-have for trainees and tutors preparing for the primary FRCA.

Small enough to keep with you on the job, this well organized and fully updated reference created just for nurse anesthetists helps you find important information quickly. Descriptions of surgical procedures include patient monitoring and assessments that happen before, during, and after. Drugs are listed by generic name, and information on trade names, dosages, indications, adverse effects and more is provided with each. Disease descriptions include key lab results, clinical manifestations, and anesthesia implications. Together, these supply you with what you need to provide the best care for your patients.